| NPI | 1477625507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MFT0979) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 0979) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV LADC617) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-03-08 |